Coronary artery embolism from infectious endocarditis treated with catheter thrombectomy using a <scp>G</scp>uide<scp>L</scp>iner catheter

Oestreich, Brett; Sommer, Per; Armstrong, Ehrin J.

doi:10.1002/ccd.26127

Cited by 4 publications

(2 citation statements)

References 13 publications

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“…Embolic events occur after a median time of 7 days following the start of adequate antibiotic therapy (15), and 65-71.4% of cases, occur within ~2 weeks (15,16). Certain organ arterial emboli in infective endocarditis can cause lethal and/or severe outcomes (17)(18)(19). In the present case, the hepatic artery embolic event occurred in the second week after starting antibiotic treatment.…”

Section: Sle Causes Chronic Inflammation In Multiple Organs (8)mentioning

confidence: 63%

Ischemic hepatitis with infectious endocarditis: A case report

Okano¹,

Okado²,

Ito

et al. 2021

Biomed Rep

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A 58-year-old woman was admitted to Suzuka General Hospital with fever. She was diagnosed with infectious endocarditis based on the presence of anterior mitral leaflet vegetation on the echocardiography analysis and isolation of Pseudomonas guariconensis by blood culture. During treatment, the hepatic enzymes levels, including aspartate aminotransferase (AST), alanine aminotransferase (ALT), lactate dehydrogenase (LDH) and alkaline phosphatase (ALP) were increased without any abdominal symptoms. Prolonged prothrombin time (PT) and prothrombin time international normalized ratio were observed, and acute hepatic failure was diagnosed. However, the hepatic injury resolved spontaneously with restoration of the PT value after the hepatic enzymes (AST, ALT, LDH and ALP) peaked. Diffusion-weighted imaging of hepatic magnetic resonance imaging showed diffuse high intensity of the entire liver except for part of the left lobe. The hepatic injury was diagnosed as ischemic hepatitis caused by embolization from the vegetation associated with infectious endocarditis. The recovery from hepatic ischemia was thought to be due to hepatic blood supply from extrahepatic collateral blood. After antibiotic treatment, the patient underwent resection of the vegetation on the anterior mitral valve leaflet. Hepatic artery occlusion is rare, but it may cause severe hepatic complications. During follow-up of infectious endocarditis, clinicians should be aware of the potential for whole organ ischemic damage caused by vessel occlusion, as well as hepatic ischemic damage.

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Section: Sle Causes Chronic Inflammation In Multiple Organs (8)mentioning

confidence: 63%

Ischemic hepatitis with infectious endocarditis: A case report

Okano¹,

Okado²,

Ito

et al. 2021

Biomed Rep

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“…12 Several case reports and small case series describe coronary embolism as a complication of infective endocarditis. 8,10,[13][14][15] A review found that a murmur was present in almost 90% of cases. 8 In a case series, 13 of 14 patients had moderate to severe valvular regurgitation on echocardiography.…”

Section: ■ Septic Coronary Embolizationmentioning

confidence: 99%

An unexpected turn: A 71-year-old man with myocardial infarction

Ganeshan

Kelemen

Dhaliwal

et al. 2022

CCJM

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An unexpected turn: A 71-year-old man with myocardial infarctionA 71-year-old man who had been previously well was brought to the emergency department by ambulance after experiencing several days of confusion and low back pain and a fall while showering. It was difficult to obtain a history owing to his altered mental status, but he said he had no chest pain or shortness of breath. His medical records were not available.The patient's temperature was 36.8ºC (101.5ºF), pulse rate 98 beats per minute, respiratory rate 16 breaths per minute, and blood pressure 100/60 mm Hg. He was somnolent but had no focal weakness or sensory deficits. Cardiac and pulmonary examinations were normal.An electrocardiogram in the emergency department revealed ST-segment elevation in leads II, III, and aVF and ST-segment depression in V1, V2, V3, and aVL (Figure 1). ■ FURTHER STUDIESLaboratory test results were as follows:

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